Individual
COLEEN A CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
417 SW 117TH AVE, SUITE 100, PORTLAND, OR 97225-5924
(503) 605-9200
(503) 605-9299
Mailing address
417 SW 117TH AVE, SUITE 100, PORTLAND, OR 97225-5924
(503) 605-9200
(503) 605-9299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20229
OR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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